Background: Introduction to
the Biology of Aging and Senescence

Senescence is the biological process of age-related deterioration in function.
The study of human senescence has been fraught with controversy, conflicting theories, and puzzling data. Gerontologists do not even agree on whether "pure" senescence is distinct from diseases of old age. Medical science has cataloged many signs of senescence. It manifests as dozens of changes in cells, tissues, and organs during aging. Human life is supported by a complex network of biochemical substances and reactions which affect the physical state and vitality of the body and mind. Senescent changes can be seen in the rate and outcome of many of these reactions. However, many of these changes are secondary effects of senescence, rather than primary causes. A summary of some of the secondary effects in human aging can be found in the Dossier on Ageing prepared by the Health on the Net Foundation.

Lifestyle and Environment

Proper nutrition and exercise can have profoundly beneficial effects upon human health. However, while unhealthy lifestyle and environmental stresses can contribute to senescence and other diseases, they are not solely responsible for senescence. Note that regardless of how virtuous their lifestyle or how pristine their environment, we have no reliable contemporary reports of humans living past 123 years [Austad, Walford]. On the other hand, animal research has shown significant lifespan extension and improved health in old age can be attained through calorie restriction, provided that good levels of micronutrients, protein, and antioxidants are maintained. The reasons are still under study, but may be related to lower blood sugar levels which reduce glycation, altered mitochondrial function which reduces production of free-radicals, or altered insulin receptor signaling.

Oxidative Stress and Free-radicals (ROS)

There is strong evidence for the hypothesis that reactive chemicals and radiation can impair health and shorten lifespan through oxidative modifications and cross-linking which eventually drags the physiological machinery to a halt [Lin, de Grey]. Several species of highly reactive chemicals, called free radicals or reactive oxygen species (ROS) are by-products of normal metabolism. They include superoxide, hydrogen peroxide, and perhydroxyl radical. They are produced primarily in the mitochondria and the lysosomes.

In defense, cells produce endogenous enzymes which prevent and repair some of this oxidative damage. Among these are superoxide dismutase and catalase, which detoxify some of the reactive chemicals. Dietary antioxidants, such as vitamin C, vitamin E, N-acetyl-cysteine, and alpha-Lipoic Acid, might also be important protective factors. However, many dietary supplement do not ever travel to the subcellular mitochondria and lysosomes where most free radicals exist. Furthermore, homeostatic mechanisms may downregulate endogenous antioxidants whenever exogenous antioxidants quench some of the free radicals. In cell culture experiments, antioxidants can protect cells somewhat from oxidizing chemicals and radiation. However, so far, observed benefits to humans taking large doses of dietary antioxidants have been limited.

Redox Potential Poise

Another consequence of increased ROS concentration in a cell, or increased numbers of oxidatively modified lipids and proteins, is that the chemical equilibrium or poise of several redox couples is altered. This alters signaling pathways and enzyme activities, which in turn can alter chromatin conformation, alter gene expression, change the cell's differentiation state, send signals to other cells, or even intiate cell death.

Mitochondrial Deterioration

Several diseases associated with senescence appear to be the direct result of cells containing dysfunctional mitochondria. The typical human cell has several hundred mitochondria. Mitochondria are the sites of three important processes which are involved in the progression of senescence:

Energy conversion (ATP)

Production of reactive oxygen species (ROS)

Initiation of cell death

Mitochondria function to convert the chemical energy from food into ATP, which cellular enzymes use to do work. As a by-product of energy conversion, ROS are produced. Mitochondria are also involved in sensing when a cell is sick enough to initiate programmed cell death (apoptosis or necrosis). Mutated mitochondrial DNA (mtDNA) can impair energy conversion and increase ROS production. Increased amounts of mutated mtDNA have been associated with progeriatric syndromes (premature symptoms of aging), Alzheimer's disease, diabetes, deafness, heart failure, optic nerve degeneration, cancer, and several progressive muscle diseases, as well as with the aging process itself. [Wallace, Lodish, Stryer, de Grey, Fliss] Conversely, less than usual accumulated mtDNA damage has been found in animals who live longer and healthier as a result of calorie restricted diets.

Wallace has presented the hypothesis that these diseases and many symptoms of senescence are the consequences of dysfunctional mitochondria, which contain mutations in their mtDNA, which reduce the efficiency of ATP production, and which result in the production of excessive concentrations of reactive chemicals. These ROS cause further damage to mitochondria and mtDNA, resulting in a positive feedback loop which worsens the situation. In some cases, the stressed mitochondria initiate a programmed cell death. In other cases, they signal the nucleus to divide and may initiate cancer. Meanwhile, some of the ROS leak out of the mitochondria and damage other cellular components.

De Grey presents an alternative hypothesis (the Reductive Hotspot Hypothesis) which places more emphasis on export of reactive chemicals from a few cells which have lost all oxidative phosphorylation function through clonal amplification of mutant mtDNA within those cells.

Lysosomes and Lipofuscin

The recycling centers inside of cells are lysosomes. Tiny bags of digestive enzymes sealed in a membrane skin, these organelles take apart damaged or unneeded proteins, lipids, and mitochondria. However, occasionally, the lysosome will take in an abnormal chemical structure which resists degradation by lysosomal enzymes. This just stays inside the lysosome, eventually joined by other abnormal structures. Iron atoms in the lysosome produce streams of ROS, which chemically crosslink the abnormal structures together into larger masses. During the lifespan of an animal, lysosomes in postmitotic cells accumulate a lot of this highly cross-linked organic substance called "lipofuscin" or "ceroid". Late in life, many of these lysosomes have so much lipofuscin that they are less able to recycle the proteins, lipids, and mitochondria. Consequently, damaged mitochondria accumulate in these cells, lowering ATP production and increasing ROS production. Furthermore, oxidatively damaged enzymes accumulate in the cytosol, reducing the rate of essential cellular functions.

Lipofuscin may also cause lysosomes to leak degradative enzymes and ROS into the cytoplasm, causing further damage to cellular components.

Non-glycation deterioration of the ECM

Besides glycation, several other chemical reactions slowly degrade the ECM. These processes are outlined in the figures below. A detailed review of all of these processes, including glycation and crosslinking, is found in Chapter 19 of The Future of Aging.

Because these reactions accumulate damage more slowly than glycation, it is appropriate to focus therapy development efforts first on glycation and crosslinking.

Cellular Senescence, Telomeres, and Telomerase

The telomerase gene is turned off in many adult human cells. As a result, these cells lose a bit off the ends (telomeres) of their chromosomes each time they divide. This appears to be related to their finite replicative lifespan in cell culture (The Hayflick Limit). Researchers are seeking to determine the importance of this observation to human senescence and health. One hypothesis suggests that as telomeres in some cells become very short, normally suppressed genes would be activated (see "Chromatin changes"), causing these cells to become "senescent". As a result, this small population of senescent cells would stop dividing and might export harmful signaling molecules (perhaps interleukins) to other cells in the body, resulting in some of the deleterious effects of human aging. In some cases, cells might "dysdifferentiate" or change to a kind of cell inappropriate for their position. Nevertheless, mice have longer telomeres than humans, but shorter lifespans, so aging in mice would seem to have other causes.

Insulin receptor signaling

Side-effects of intracellular molecular signals from the insulin receptors affect the lifespan of the nematode worm, C. elegans. It is hypothesized that they may affect human health and lifespan as well. It has been suggested that lower insulin levels in calorie restricted animals might be partly responsible for their improved health and longer lives. This remains to be proven, as calorie restricted animals also have lower blood sugar levels, less glycation, and perhaps reduced ROS production.

Chromatin changes and gene expression

Changes in chromatin structure can alter access to regions of DNA by enzymes and ROS. Consequently, the expression of certain genes, and the probability of DNA damage and repair in these regions are altered when the chromatin structure changes. Chromatin changes are mediated by histone acetylation and DNA methylation, which are a cause and a result of gene expression and differentiation. It has been hypothesized that some of these changes might accumulate with age, perhaps in a small population of senescent cells which may spread damage throughout the body by malfunctioning or dying or by secreting damaging chemicals. Chromatin changes may also make the nuclear DNA more accessible to mutation events or to activation of cancer-promoting genes.

Stem cell stasis

If all stem cells were prevented from dividing, then tissue turnover and replacement of dying cells would be prevented. This could result in declines in functionality of many vital systems in the body. It has been hypothesized that stem cell division might be halted by either telomere shortening, chromatin modification, nuclear mutation, or altered hormonal signaling. This field is in need of further study. Stem cell stasis probably contributes to the deterioration of human aging. Progress in stem cell therapy could improve wound healing, tissue repair, and the treatment of many diseases.
Further information may be found in: